Most Relevant Information
Provider Data
| NPI Number: | 1003289778 |
| Provider Name: | MICHAEL LEONG |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 46288 |
Most Important Dates
| Enumeration Date: | 11/03/2015 |
| Last Updated: | 11/03/2015 |
Provider Practice Location
2314 SANTA CLARA AVE
ALAMEDA
CA
945014522
Practice Location Phone/Fax
| Phone: | 5105234929 |
| Fax: | 5105233430 |
Provider Mailing Location
2314 SANTA CLARA AVE
ALAMEDA
CA
945014522
Provider Mailing Phone/Fax
| Phone: | 5105234929 |
| Fax: | 5105233430 |